Individual
JESSICA ANN SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., LMP
Contact information
Practice address
5343 TALLMAN AVE NW, SUITE 100, SEATTLE, WA 98107-3931
(206) 947-2134
Mailing address
403 NE 92ND ST, SEATTLE, WA 98115-2722
(206) 947-2134
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60024371
WA
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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